Organization
LOWCOUNTRY HOME RESPIRATORY
Active
Other names
MOBILE MED INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BESON (PRESIDENT)
(843) 572-8045
Entity
Organization
Contact information
Practice address
2881B TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 572-8045
Mailing address
2881B TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 572-8045
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1120
—
SC
Enumeration date
01/05/2006
Last updated
08/22/2020
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